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1:? 094 )0r24? <br />SAN JOAQUIN <br />couN-v_ Environmental Health Department <br />TEMPORARY EVENT APPLICATION <br />To be completed and signed by Event Coordinator, then returned to the Environmental Health Department with all <br />of the Food Vendor's Applications no later than two weeks prior to event <br />GENERAL EVENT FILE INFORMATION <br />1. Name of Event: Kite Festival <br />Date(s) of Event: June 1, 2024 Time of Event: 10:00am-1:00pm <br />Location: Central Community Park, Mountain House <br />Event Coordinator (Name): Laura Johnston Telephone: ( ) 209-831-5623 <br />Mailing Address: 251 E. Main Street, Mountain House, CA 95391 <br />Number of Food Booths: 7 <br />Approximate attendance at peak time: 500 Total Attendance: 750 Average 40/10 <br />UTILITIES <br /> Is potable water supplied and available for each food vendor: LII Yes M No <br /> Is electricity supplied and available for each food vendor: n Yes No <br /> Are janitorial facilities available: n Yes Ii No <br /> Number of toilets provided: 5 <br /> Name of sanitary garbage disposal company: West Valley Disposable Number of dumpsters: 1 <br /> Method of disposal of liquid waste for food booths: vendors will take with them <br />APPLICATION <br />1. Submit the following to the Environmental Health Department two weeks prior to the event: <br />Temporary Event Application <br />Application Review Fee of $162 <br />Temporary Food Vendors Applications for each booth <br />Temporary Event Site Plan <br />Food Vendor List <br />2. If the event is selected for inspection, the Event Coordinator will be billed for inspection time: <br />$162 per hour (weekdays 8:00 am to 5:00 pm) <br />After regular business hours (weekday, weekends and holidays) the inspection is charged at a <br />minimum three-hour overtime rate of $729.00 <br />This application is to be completed and signed by the Event Coordinator, then returned to the <br />Environmental Health Department with all Food Vendor's Applications no later than two weeks prior to the event. <br />I understand that as a temporary event coordinator, I am responsible for meeting California State <br />standards and the Environmental Health Department policies and procedures. <br />Event Coordinator: Date: <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 www.sjgov.org/ehd EHD 16-02 Page 1 of 11 TEMP EVENT APP 06/29/2023